Medical Bill Reviewer
$42K - $52K/yr
The Reny Company's bill reviewer is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. Purpose of this role is to ...
Quick apply
$42K - $52K/yr
The Reny Company's bill reviewer is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. Purpose of this role is to ...
Quick apply
$42K - $52K/yr
The Reny Company's bill reviewer is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. Purpose of this role is to ...
Orange, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Orange, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Rocklin, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
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Rocklin, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Rocklin, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Rocklin, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Rocklin, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Rocklin, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Orange, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Orange, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Orange, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Quick apply
Orange, CA · On-site
Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to price hospital and surgery bills to applicable fee schedules. * Ability to process reconsideration ...
Stevens Point, WI · Hybrid
$17.75 - $22.75/hr
Join our Medical Bill Reviewing team and ensure accurate processing of wage loss/medical claims data by applying laws and regulations; handle routine bills and escalate complex issues What You'll Do ...
Stevens Point, WI · Hybrid
$17.75 - $22.75/hr
Join our Medical Bill Reviewing team and ensure accurate processing of wage loss/medical claims data by applying laws and regulations; handle routine bills and escalate complex issues What You'll Do ...
$80K - $90K/yr
As part of the Complex Payment Solutions team, you will, as a Nurse Itemized Bill Reviewer (IBR Analyst) , be responsible for reviewing facility insurance claims to determine true and accurate ...
$80K - $90K/yr
As part of the Complex Payment Solutions team, you will, as a Nurse Itemized Bill Reviewer (IBR Analyst) , be responsible for reviewing facility insurance claims to determine true and accurate ...
CA · On-site
$22 - $28/hr
Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review, audit, and process workers' compensation medical bills while ensuring compliance with state fee ...
CA · On-site
$22 - $28/hr
Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review, audit, and process workers' compensation medical bills while ensuring compliance with state fee ...
Lake Forest, CA · On-site +1
$20.25 - $28/hr
Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review, audit, and process workers' compensation medical bills while ensuring compliance with state fee ...
Lake Forest, CA · On-site +1
$20.25 - $28/hr
Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review, audit, and process workers' compensation medical bills while ensuring compliance with state fee ...
Lake Forest, CA · Remote
$22 - $28/hr
Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review, audit, and process workers' compensation medical bills while ensuring compliance with state fee ...
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Lake Forest, CA · Remote
$22 - $28/hr
Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review, audit, and process workers' compensation medical bills while ensuring compliance with state fee ...
About The Role The Casualty Bill Review Specialist is responsible for ensuring accurate, compliant, and efficient medical bill review within the New York workers' compensation and casualty ...
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About The Role The Casualty Bill Review Specialist is responsible for ensuring accurate, compliant, and efficient medical bill review within the New York workers' compensation and casualty ...
About The Role The Casualty Bill Review Specialist is responsible for ensuring accurate, compliant, and efficient medical bill review within the New York workers' compensation and casualty ...
About The Role The Casualty Bill Review Specialist is responsible for ensuring accurate, compliant, and efficient medical bill review within the New York workers' compensation and casualty ...
Tampa, FL · Remote
The Bill Review Systems Analyst is responsible for analyzing Bill Review operational processes to identify and implement changes to improve performance on key performance indicators including ...
Tampa, FL · Remote
The Bill Review Systems Analyst is responsible for analyzing Bill Review operational processes to identify and implement changes to improve performance on key performance indicators including ...
Tampa, FL · Remote
The Bill Review Systems Analyst is responsible for analyzing Bill Review operational processes to identify and implement changes to improve performance on key performance indicators including ...
Tampa, FL · Remote
The Bill Review Systems Analyst is responsible for analyzing Bill Review operational processes to identify and implement changes to improve performance on key performance indicators including ...
$13.38 - $23.42/hr
The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for multiple states and lines of business. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
$13.38 - $23.42/hr
The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for multiple states and lines of business. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Pittsburgh, PA · On-site
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their designated department. This position functions as a member of the Bill Review Department leadership team ...
Pittsburgh, PA · On-site
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their designated department. This position functions as a member of the Bill Review Department leadership team ...
Pittsburgh, PA · Hybrid
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their designated department. This position functions as a member of the Bill Review Department leadership team ...
Pittsburgh, PA · Hybrid
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their designated department. This position functions as a member of the Bill Review Department leadership team ...
Pittsburgh, PA · Hybrid
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their designated department. This position functions as a member of the Bill Review Department leadership team ...
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Pittsburgh, PA · Hybrid
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their designated department. This position functions as a member of the Bill Review Department leadership team ...
$10.58 - $14.03
1% of jobs
$14.03 - $17.48
13% of jobs
$17.48 - $20.94
4% of jobs
$22.31 is the 25th percentile. Wages below this are outliers.
$20.94 - $24.39
18% of jobs
$24.39 - $27.84
14% of jobs
The median wage is $27.95 / hr.
$27.84 - $31.29
17% of jobs
$31.29 - $34.75
7% of jobs
$35.14 is the 75th percentile. Wages above this are outliers.
$34.75 - $38.20
12% of jobs
$38.20 - $41.65
8% of jobs
$41.65 - $45.10
5% of jobs
$45.10 - $48.56
1% of jobs
$10
$29
$48
A Bill Reviewer is responsible for examining invoices, bills, or claims to ensure accuracy, compliance with policies, and proper documentation. They verify charges, identify discrepancies, and may communicate with vendors or clients to resolve issues. Bill Reviewers often work in industries such as healthcare, legal, or insurance, where precise billing is crucial. Their role helps prevent overpayments, fraud, and financial errors, ensuring that payments are processed correctly. Attention to detail and knowledge of billing procedures are key skills for this role.
Bill Reviewers often encounter challenges such as interpreting complex billing codes, keeping up with frequent regulatory updates, and identifying discrepancies among high volumes of claims or invoices. They must balance accuracy with efficiency, as processing deadlines are common and errors can lead to financial loss or compliance issues. Teamwork and effective communication with billing departments, providers, and clients are also key aspects of the role. Successfully navigating these challenges helps ensure accurate payments, compliance, and positive relationships with stakeholders.
To thrive as a Bill Reviewer, you need a strong attention to detail, analytical skills, and a solid understanding of billing codes, insurance policies, and relevant regulations, typically accompanied by a degree or experience in finance, healthcare, or law. Familiarity with billing software, claims management systems, and sometimes certification in medical billing or coding (e.g., CPC or CCA) is highly beneficial. Strong communication, organizational, and problem-solving abilities are valuable soft skills that set top performers apart. These skills are crucial for accurately evaluating and processing bills, ensuring compliance, and reducing errors or disputes in billing practices.

$42K - $52K/yr
Full-time
Medical, Dental, Vision, Life, Retirement
Re-posted 3 days ago
The Reny Company's bill reviewer is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. Purpose of this role is to support Claims by analyzing medical, hospital, durable medical equipment, pharmacy, home health, etc. bills and records/reports to determine billing accuracy and appropriateness. This support is achieved by utilizing intelligent software and by understanding and applying knowledge of medical code billing and claims processing rules and regulations, billing practices, code sets, and state and Medicare adjustment reimbursement principles, knowledge of WC fee schedules. Support is also achieved by providing education and training regarding provider billing and documentation, identifying and bringing to management's attention any unusual or emerging procedures or billing anomalies. The bill reviewer will ensure the highest level of accuracy of data entry into our bill review system for claims processing.
PLEASE DO NOT APPLY IF YOU DON'T HAVE THE EDUCATION AND MEDICAL BILL REVIEW EXPERIENCE
Experience Requirements:
Two or more years of experience in a medical bill review analyst position preferred. Medical coding knowledge needed. Prior experience in a payer environment working with claims systems and bill review software is a plus.
Production Requirements:
• Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour
Responsibilities:
• Process medical bills for workers' compensation, Texas non subscription, maritime, occupational accident, and liability claims
• Data entry into system applying usual and customary, worker's compensation and liability ground rules and fee schedules
• Continuous enhancement of working knowledge of medical forms such as CMS-1500, UB-92, UBO4/DWC-9/DWC-10
• Increase knowledge of coding principles CPT, ICD-9 / ICD-10, DRG, Revenue codes
• Responsible for processing a minimum quota per day with an error rate of 98% or better
• Increase knowledge on pre-authorization guidelines in order to pay/deny bills accordingly
• Ensure all bill processing is specific to client requests
• May be asked to perform other duties as management deems necessary
Education/Qualifications:
Associates degree or equivalent work experience Certified Professional Coder certification such as CCA. CCS, CCS-P, CPC, CPC-P from a generally recognized professional organization such as AHIMA or AAPC
• Experience with Medical Bill Review preferred
•High school diploma or equivalent, college preferred
• Two to three years of medical claims experience
• Trained in ICD10 preferred
• Workers’ Compensation experience preferred
• Fee Schedule knowledge and Medicare experience preferred
• Knowledgeable of Excel, Word, Outlook, etc.
• Ability to multi-task effectively while meeting or exceeding aggressive deadlines
• Ability to work independently and in a team environment
The Reny Company is an Equal Opportunity Employer. In order to provide equal employment and advancement opportunities to all individuals, employment decisions at The Reny Company will be based on merit, qualifications and abilities. Except where required or permitted by law, employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex, national origin, ancestry, citizenship, age, handicap or disability, marital status, medical condition or any other characteristic protected by applicable law.
THIS IS NOT A REMOTE POSITION
ONLY THOSE WITH RELEVANT EDUCATION AND MEDICAL BILL REVIEW EXPERIENCE NEED APPLY
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Health care and social assistance
11 - 50 Employees
Plano, TX, US
1996